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Leal Quiñones, Alejandro

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Alejandro

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Leal Quiñones

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Ciencias de la Salud

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2007 - 200912010 - 201922020 - 20211
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    Rehabilitative Ultrasound Imaging Evaluation in Physiotherapy: Piloting a Systematic Review.
    (Applied Sciences, 2019) Fernández Carnero, Samuel; Arias Buría, José Luis; Cuenca Zaldívar , Juan Nicolás; Leal Quiñones, Alejandro; Calvo Lobo, César; Martín Saborido, Carlos
    Background: Research of ultrasound use in physiotherapy and daily practice has led to its use as an everyday tool. Methods: The aims were: (1) Checking the proposed systematic review protocol methodology; (2) evaluating the evidence from the last five years; and (3) coordinating the work of the team of reviewers in performing a complete systematic review. Thus, this is a pilot study prior to a full systematic review. The findings in databases related to health sciences with the meta-search engine Discovery EBSCO, Covidence, and Revman were used. Inclusion and exclusion criteria were described for eligibility. Results: Search provided 1029 references regarding the lumbar region on ultrasound scans. Of these, 33 were duplicates. After Covidence, 996 studies were left for screening. A full-text reading brought one randomized clinical trial (RCT). Conclusions: Validity and reliability references were found. The most suitable points were novice versus expert, and ultrasound versus electromyography (EMG) with just one RCT cohort, and observational and case reports. The lines of investigation increasingly endorsed the validity of using ultrasound in physiotherapy. Post-acquisition image analysis could also be a future line of research.
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    The Role of Rehabilitative Ultrasound Imaging Technique in the Lumbopelvic Region as a Diagnosis and Treatment Tool in Physiotherapy: Systematic Review, Meta-Analysis and Meta-Regression.
    (Journal of Clinical Medicine, 2021) Fernández Carnero, Samuel; Martín Saborido, Carlos; ; Ferragut-Garcias, Alejandro; Cuenca Zaldívar, Juan Nicolás; Leal Quiñones, Alejandro; Calvo Lobo, César; Gallego Izquierdo, Tomás; Achalandabaso Ochoa, Alexander
    Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the last three decades. The aims for this utility in clinical settings must be review through a systematic review, meta-analysis and meta-regression. A systematic review was designed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines with PROSPERO registration and per review in all phases of the process using COVIDENCE, analysis of risk of bias and meta-analysis using REVMAN, and meta-regression calculation using STATA. Database screening provided 6544 references, out of which 321 reported narrative synthesis, and 21 reported quantitative synthesis, while only 7 of them provided comparable data to meta-analyze the variables pain and muscle thickness. In most cases, the forest plots showed considerable I2 heterogeneity indexes for multifidus muscle thickness (I2 = 95%), low back pain (I2 = 92%) and abdominal pain (I2 = 95%), not important for transversus abdominis muscle thickness (I2 = 22%), significant heterogenity (I2 = 69%) depending on the subgroup and not important internal oblique muscle thickness (I2 = 0%) and external oblique muscle thickness (I2 = 0%). Meta-regression did not provide significant data for the correlations between the variables analyzed and the intervention, age, and BMI (Body Mass Index). This review reveals that RUSI could contribute to a high reliability of the measurements in the lumbopelvic region with validity and reliability for the assessments, as well as showing promising results for diagnosis and intervention assessment in physiotherapy compared to the traditional model, allowing for future lines of research in this area.
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    Factores motivacionales en el perfil del fisioterapeuta: un estudio experimental
    (2007-03) Congosto Luna, Elvira; González Conde, María; Leal Quiñones, Alejandro; Matarranz Riesgo, María
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    La libertad humana en Viktor Emil Frankl. Diálogo con el pensamiento de San Agustín.
    (2015) Leal Quiñones, Alejandro; Antuñano Alea, Salvador; Humanidades y Ciencias Sociales